Booking Form 1 Booking Form Please enable JavaScript in your browser to complete this form. - Step 1 of 5Personal InformationName as per passport *FirstLastBed Configuration *Choice 5TwinDoubleSingleUpload passport copy * Click or drag a file to this area to upload. Dietary Requirements *Medical Conditions or allergies *Weight in Kgs *This is safety requirement for any light aircraft flights.Drinks PreferencePreferred seat allocationAnyAisleWindowMiddlePlease let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try. Cell Phone *Postal Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextEmergency Contact DetailsEmergency Contact Name *FirstLastRelationship *Country of Residence *Phone *PreviousNextTravel Insurance DetailsBroker *Policy Number *Phone *PreviousNextTravel InformationArrival Date and Time in Africa *DateTimeArrival Airport *Airline *Flight Number *Departure Date and Time from Africa *DateTimeDeparture Airport *Airline *Flight Number *PreviousNextAdditional InformationSpecial Occasion whilst in AfricaAny Special InterestsAny additional information you wish us to know that will help make your safari extra special?Updating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit